Health Benefits
Risk Management
and Administration





Let SIBA be Your Strategic Cost Containment Partner.

Like many organizations, you’re likely caught in the middle, as your employees and their physicians make healthcare decisions that affect your bottom line. Typical solutions to annual rate increases are to raise employee premiums or reduce benefits. But there is a better way.

As your strategic partner, SIBA will help you hold down rising health care costs– by managing claim dollars before they occur.

More than a third party administrator (TPA), we are your health benefits risk manager. And we use innovative products and services to provide customized, flexible solutions to forward- thinking, self-funded organizations.

Cost Containment Solutions For Health Systems

Our predictive modeling and superior reporting capabilities for fact-based analytics and decision-making allow you to control cost, without sacrificing benefits, cost shifting or minimizing health care outcomes.

In addition to our menu of comprehensive, third party administration services, 24-hour customer service and convenient online tools, we offer superior claims and data management solutions that enable our partners to:

  
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•		 Resolve claims in an accurate and timely manner

Re-price claims for out-of-network service

Detect fraud

Un-bundle codes to eliminate up-coding and minimize payments to providers

Eliminate the un-bundling and up-coding associated with your medical bills to ensure appropriate payment

Identify and manage significant claims’ exposure at the earliest possible time through the integration of services and processes

Implement preventive care and disease management programs to foster employee wellness and facilitate care before costly health problems or complications occur

Identify and monitor patient compliance for treatment patterns and medication regimens of key disease states

Our partners also benefit from a suite of Covenant Applied Savings Techniques (CAST) services, which focus on wellness, accountability and health care outcomes.

Better Health and Financial Outcomes

Together, these integrated programs, processes and services ensure the best possible health and financial outcomes for both you and your employees. They also enhance employee satisfaction by maintaining your plan’s high value.

Are you ready to gain control of your rising healthcare costs? Call 800-680-8728 - ext. 8207 – James F. Ballew - President to find out more about SIBA’s integrated, cost containment solutions, or submit an online information request form.